Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ginamarie Kallansrude

Individual provider Dental Hygienist · NPI 1316682040

Ginamarie Kallansrude is a Dental Hygienist in Farmingdale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

12 Barbara Dr
Farmingdale, NY 11735-6102
Phone: (516) 993-3798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 018437-1 (NY)

Record details

NPI number1316682040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

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